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Individual

MR. LOUIS ANTHONY MCDANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.T.

Contact information

Practice address
609 JACKSON ST, BASTROP, LA 71220-4417
(318) 282-1084
Mailing address
609 JACKSON ST, BASTROP, LA 71220-4417
(318) 282-1084

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA6967
LA

Other

Enumeration date
05/10/2013
Last updated
03/31/2017
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